HIM Coder, Per Diem

Summary

Complete inpatient and outpatient record coding in an accurate and timely manner as defined in the Department and in keeping with Coding Guidelines and other applicable coding rules and conventions applicable to the facility.

Key Responsibilities

• Discharged patient records are coded in adherence with ICD--CM rules, department policies and procedures and standardized coding rules, conventions and IRF/LTCH requirements.

• Records are coded to meet established HIM timeframes.

• Admission Records are coded in accordance with IRF/LTCH rules and standards.

• OPD records are coded in adherence with Ambulatory coding conventions.

• Impairment coding is provided as needed to support department needs.

• Peer review is actively participated in to ensure coding accuracy.

• Cross coverage is provided to support HIM team meet department objectives.

• Appropriate codes are assigned and entered into the computer system at the respective hospital for the UB92

• Appropriate codes are assigned and entered into the IRF-PAI for transmission to the CMS via UDS or eRehab.

• Additional department, organization, or network activities are completed per established objectives.

• PCC Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.

Qualifications and Experience

Education/Degree

Required:

• Demonstrated coding skills

Preferred:

• RHIT, RHIA, CCS or completion of an accredited college program

Experience

Required:

• Extensive recent coding experience of at least 2 recent years may be substituted for formal education and/or certification.

Skills (Specific learned activity gained through training (e.g. computer skills, keyboarding, presentation, CPR, ACLS, etc.)

Required:

• Understanding of the healthcare field and the applicable prospective payment systems and their relationship to the position.

• In-depth understanding of health and medical record information.

• Understanding of A & P, medical terminology and record documentation.

• Must be familiar with the principles and practices of Health Information/Medical Records Sciences and understand how they apply to hospitals medical records and coding in particular.

• Must possess a knowledge and understanding of the ICD - CM, LTC and/or IRF coding contingent on the work setting.

• Must have some familiarity with CPT coding and levels.

• Computer proficiency required. Microsoft office applications preferred with ability to learn new software.

Preferred:

• Highly developed communications and interpersonal skills, working with diverse population.

• Work independently, be self-directed and contribute as a member of a team.

• Anticipates challenges and develops and implements strategies for addressing them.

• High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.